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The pivotal role of negative pressure wound therapy in the management of enteroatmospheric fistula: a year-long "obstacle marathon".
Wounds
September 2024
Casa Di Cura Villa Dei Fiori, Naples, Italy.
Article Synopsis
- Enteroatmospheric fistula (EAF) is a serious complication arising after abdominal surgery, characterized by an abnormal connection between the gastrointestinal tract and the atmosphere, which poses challenges like a high mortality rate and difficulties in managing intestinal content.
- A case study describes a patient who experienced multiple EAFs following Hartmann reversal surgery, leading to several interventions, including resection of affected bowel segments and creation of an ileostomy.
- There is no one-size-fits-all treatment for EAF, though spontaneous closure might occur in specific cases with minimal output and preserved intestinal continuity.
An outbreak of ischaemic teat necrosis in a dairy herd in Taranaki, New Zealand.
N Z Vet J
November 2024
Tāwharau Ora - School of Veterinary Sciences, Massey University, Palmerston North, New Zealand.
Article Synopsis
- In spring 2021, 12 first-calving heifers on a Taranaki dairy farm developed severe skin lesions on their teats, leading to varied outcomes: 8 cows recovered while 4 were culled, with two requiring surgical intervention.
- The lesions started as crusty scabs and progressed to thick, dead tissue, causing inflammation without milk leakage or odor; diagnostic tests excluded several viral causes.
- The condition was diagnosed as ischaemic teat necrosis (ITN), resembling a novel disease previously reported in the UK, with additional cases appearing on the same farm in the following years.
Learning curve for robot-assisted nipple-sparing mastectomy: A single institution experience.
Eur J Surg Oncol
October 2024
Division of Breast Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea. Electronic address:
Background: Robot-assisted nipple sparing mastectomy (RANSM) is emerging because it offers hidden incisions and ergonomic movements. In this study, we report the learning curve and feasibility of RANSM.
Methods: A retrospective study was conducted among women who underwent RANSM with immediate breast reconstruction from July 2019 to June 2022.
Clinical Presentation, Bacteriologic Findings and Possible Risk Factors for Ischemic Teat Necrosis in Cattle-A Case Series.
Vet Sci
June 2024
Department of Veterinary and Animal Sciences, Section for Production, Nutrition and Health, Faculty of Health and Medical Sciences, University of Copenhagen, 1870 Frederiksberg C, Denmark.
Ischemic teat necrosis (ITN) is a growing problem in the dairy industry characterized by teat lesions, necrosis, pruritus and automutilation. Despite the economic and welfare consequences, there is no treatment, and the etiology of the disease remains poorly understood. The aim of this study was to investigate ITN by analyzing its clinical presentation, potential risk factors and microbial involvement.
View Article and Find Full Text PDFMolecular Screening for Digital Dermatitis-Associated Treponemes in Bovine Ischaemic Teat Necrosis Lesions and Milk in Dairy Cattle.
Pathogens
May 2024
Institute of Infection, Veterinary, and Ecological Sciences, University of Liverpool, Leahurst Campus, Chester High Road, Neston CH64 7TE, UK.
Bovine ischaemic teat necrosis (ITN) is a disease affecting the skin of the teats of dairy cows with an unknown aetiopathogenesis. Digital dermatitis (DD)-associated treponemes have previously been suggested as a potential aetiological agent in ITN, although the sample size was small. The current study, using established PCR techniques, aimed to examine the association with the presence of DD-associated treponemes in a large number of ITN samples from a wider geographical area, and surveyed the potential of milk as an infection reservoir.
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